MARYLAND PROTON TREATMENT CENTER, LLC (NPI# 1255742375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255742375 |
Entity Type | Organization |
Organization Name | MARYLAND PROTON TREATMENT CENTER, LLC |
Other Organization Name | MARYLAND PROTON TREATMENT CENTER |
Practice Address |
850 W Baltimore St Baltimore MD 21201-1110 |
Mailing Address |
Po Box 65034 Baltimore MD 21264-5034 |
Practice Telephone | 4103695200 |
Practice Fax Number | 4103470870 |
Mailing Telephone | 4107064919 |
Mailing Fax Number | 4107066729 |
Enumeration Date | 2014-05-12 |
Last Update Date | 2020-02-25 |
Authorized Official Name | SHAREEF MOSTAFA BATATA (CHIEF FINANCIAL OFFICER) |
Authorized Official Telephone | 4103695223 |
Is Organization Subpart | Y |
Parent Organization Name | MARYLAND PROTON TREATMENT HOLDINGS, LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QR0200X |
Clinic/Center Specialization: Radiology |
MM483 | MD | Ambulatory Health Care Facilities |
N | 261QX0203X |
Clinic/Center Specialization: Oncology, Radiation |
MM483 | MD | Ambulatory Health Care Facilities |
Y | 261Q00000X | Clinic/Center | MM483 | MD | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Maryland Proton Treatment Center | Doing Business As Name - Organization |
Street Address |
850 W BALTIMORE ST |
City | BALTIMORE |
State | MD |
Zip Code | 21201-1110 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295796761 | Robert Savary Malyapa | Radiology | 850 W Baltimore St, Baltimore, MD 21201-1110 | 2006-03-31 |
1477022168 | Kelli Bethel | Physical Therapist | 850 W Baltimore St, Baltimore, MD 21201-1110 | 2018-11-26 |
1649757006 | Ankur Markand Sharma | Radiology | 850 W Baltimore St, Baltimore, MD 21201-1110 | 2018-07-27 |
1356836977 | Elizabeth Ann Parker | Dietitian, Registered | 850 W Baltimore St, Baltimore, MD 21201-1110 | 2018-06-26 |
1396006599 | Arpit Chhabra | Radiology | 850 W Baltimore St, Baltimore, MD 21201-1110 | 2012-06-04 |
1295006567 | Avani Dholakia Rao | Radiology | 850 W Baltimore St, Baltimore, MD 21201 | 2012-01-19 |
1225284383 | Katarina Steacy | Nurse Practitioner | 850 W Baltimore St, Baltimore, MD 21201-1110 | 2008-08-08 |
1538109954 | Michelle Marie Turner | Nurse Practitioner | 850 W Baltimore St, Baltimore, MD 21201-1110 | 2006-06-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518585470 | Meshref Ayed Alshehri | Student in an Organized Health Care Education/Training Program | 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-07-08 |
1306462411 | Michael Julian Wong | Student in an Organized Health Care Education/Training Program | University of Maryland, Department of Anesthesiology, 22 S Green St, S11b, Baltimore, MD 21201 | 2020-06-24 |
1740817733 | Martha Kaitlyn Coghlan | Student in an Organized Health Care Education/Training Program | Ummc Ob/gyn, 22 S. Greene St., Baltimore, MD 21201 | 2020-03-27 |
1629606637 | Taylor Renee Kai | Student in an Organized Health Care Education/Training Program | University of Maryland, 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-03-27 |
1295362697 | Brittany A Oster | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street 6th Floor, Suite 300, Baltimore, MD 21201 | 2020-03-25 |
1346877735 | Kayvon Michael Mobarakeh | Student in an Organized Health Care Education/Training Program | University of Maryland Department of Anesthesiology, 22 S Greene St, S11c, Baltimore, MD 21201 | 2020-03-25 |
1598392284 | Zachary Allan Hagen | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, 6th Flr., Suite 200, Baltimore, MD 21201 | 2020-03-24 |
1700430055 | Jaime Semchuk | Student in an Organized Health Care Education/Training Program | 737 West Lombard, Baltimore, MD 21201 | 2019-07-25 |
1952861619 | Zachary Daniel Sanford | Student in an Organized Health Care Education/Training Program | 22 S Greene Street S8b12, Baltimore, MD 21201 | 2019-03-20 |
1114487840 | Spencer Sykes Lovegrove | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, Sixth Floor, Suite 200, Baltimore, Sixth Floor, Suite 200, Baltimore, MD 21201 | 2019-03-20 |
Find all providers in zip 21201 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891357919 | Family Orthodontics of Maryland LLC | Clinic/Center | 2 Hamill Rd Ste 215, Baltimore, MD 21210-1886 | 2019-06-29 |
1366008179 | Baltimore Acupuncture LLC | Clinic/Center | 1501 Sulgrave Ave Ste 310, Baltimore, MD 21209-3654 | 2019-05-16 |
1053875815 | Anova Infusion | Clinic/Center | 111 S Calvert St Ste 2700, Baltimore, MD 21202-6143 | 2019-01-25 |
1891262135 | Emerge Baltimore Inc. | Clinic/Center | 1803 Pennsylvania Ave, Baltimore, MD 21217-3235 | 2018-10-24 |
1992271902 | Lifebridge Sports Medicine and Rehabilitation LLC | Clinic/Center | 8114 Sandpiper Cir Ste 114, Baltimore, MD 21236-5901 | 2018-10-17 |
1831671684 | Farrell & Associates | Clinic/Center | 4201 Harcourt Rd, Baltimore, MD 21214-3409 | 2018-08-29 |
1023502838 | Pikesville Pediatrics, LLC | Clinic/Center | 19 Walker Ave Ste 304, Baltimore, MD 21208-4067 | 2018-06-15 |
1740798412 | Victory Medical Center | Clinic/Center | 1101 N Point Blvd Ste 110, Baltimore, MD 21224-3417 | 2018-01-17 |
1730612235 | Concerted Care Group Brooklyn | Clinic/Center | 112 E Patapsco Ave, Baltimore, MD 21225-1745 | 2017-04-11 |
1659538437 | Powell Recovery Institute | Clinic/Center | 16 S Broadway, Baltimore, MD 21231-1712 | 2008-05-20 |
Find all providers in BALTIMORE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.